There are no human trials
Biomicrofluidics 9, 024115

( Figure 2 ( Figure 2 2 Microbiota-gut-brain axis and depression The MGB axis concept has arisen in the psychiatric field, as to how microbiome contributes to human homeostasis ( 14 microbe cells, which comprise the microbiota ( Bacteroidetes and Firmicutes ( Proteobacteria, Actinobacteria, Fusobacteria , and Verrucomicrobia are found in comparatively small amounts ( Bacteroidetes / Firmicutes ratio, which is considered an improvement of the genus Bacteroides and a depletion of the genus Blautia , Faecalibacterium , and Coprococcus ( Eggerthella levels were consistently higher and Sutterella levels were consistently lower in people with MDD ( Figure 3 ( Figure 3 Moreover, increased systematic translocation of intestinal metabolites, bacterial particulates, or even microbiota through the damaged intestinal tract (the leaky gut) heightens systemic inflammatory reactions such as Th17/Treg disorder, interleukin-6, IL-1, and tumor necrosis factors alpha that are being implicated in the etiology of depression

Side effects are rare and most dogs do not have any major issues while they are being treated
While epidemiological associations are well-established, the underlying molecular mechanisms and long-term consequences require systematic evaluation